Brandon Douglas Jones in Johnson City - Physician Assistant
Brandon Douglas Jones - NPI 1164593513
Brandon Douglas Jones is a Physician Assistant in Johnson City, Tennessee. Brandon Douglas Jones practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brandon Douglas Jones is 1164593513. The last update date is 2019-12-09.
Brandon Douglas Jones's current location address is 2410 Susannah St, Johnson City, Tennessee. You can contact this provider via phone number 4232829011 and fax number 4232820035. The mailing address for Brandon Douglas Jones is 2410 Susannah St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Douglas Jones |
|---|---|
| Address | 2410 Susannah St, Johnson City, Tennessee |
| Phone Number | 4232829011 |
| Fax Number | 4232820035 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164593513 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
| Address | 2410 Susannah St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011748 |
| Phone Number | 4232829011 |
| Fax Number | 4232820035 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1467 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1164593513 | VA | -- | |
| 1516342 | TN | -- | |
| PA0001467 | TN | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brandon Douglas Jones by the Centers for Medicare & Medicaid Services?
The Brandon Douglas Jones has been issued the NPI (National Provider Identifier) 1164593513, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brandon Douglas Jones?
The Brandon Douglas Jones is physically situated at 2410 Susannah St, in the city of Johnson City, state of TN, with the postal code 376011748.
What is Brandon Douglas Jones's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brandon Douglas Jones's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164593513 to Brandon Douglas Jones?
The Brandon Douglas Jones received its 1164593513 assignment from the Centers for Medicare & Medicaid Services on 2006-11-09.
When was the Brandon Douglas Jones's information last updated?
The Brandon Douglas Jones's information was last updated on 2019-12-09.
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